• Memorial Sloan-Kettering Cancer Center (New York, NY)
    …appeals and acquire authorizations for treatment **Key Qualifications:** + Current NYS Registered Nurse License/Registration and BSN preferred + At least 2-3 ... Management experience to support Oncology Patients? The MSK Case Management Department is made up of Registered... Case Management Department is made up of Registered Nurses (RNs), Licensed Practical Nurses (LPNs) and support… more
    DirectEmployers Association (09/11/25)
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  • Stony Brook University (Stony Brook, NY)
    Case Manager - Per Diem **Position...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN ... Summary** At Stony Brook Medicine, a **Care Manager ** is a valuable member of our team, who...not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR from the… more
    DirectEmployers Association (10/22/25)
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  • RN / Case Manager -MSH-…

    Mount Sinai Health System (New York, NY)
    **Job Description** ** RN / Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case ... term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or...or a minimum of 3-5 years experience as a RN in an acute care setting. Licensing and Certification… more
    Mount Sinai Health System (10/14/25)
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  • RN Medical Claim Review Nurse Remote

    Molina Healthcare (Yonkers, NY)
    …and/or coding experience, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM),… more
    Molina Healthcare (10/19/25)
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  • Case Manager Supervisor

    Stony Brook University (Stony Brook, NY)
    Case Manager Supervisor **Position Summary** At Stony Brook Medicine, a **TH Staff Associate/Supervisor Case Manager ** is a valuable member of our team, ... standard of excellence. **Duties of a TH Staff Associate/Supervising Case Manager in the Care Management Department...as needed. **Preferred Qualifications:** + Master's Degree, + Certified RN , + CM Five years Case management… more
    Stony Brook University (09/16/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Yonkers, NY)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (09/06/25)
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  • Care Manager

    LIFEPlan CCO NY (Chappaqua, NY)
    Care Manager Job Details Job Location Chappaqua - Chappaqua,...years of relevant experience, or a license as a Registered Nurse with two years of relevant ... NY Salary Range $29.87 - $31.93 Hourly Description Job Summary: The Care Manager provides services within the Care Management programs, including Health Home Care… more
    LIFEPlan CCO NY (10/14/25)
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  • Supervisor, Health Homes Care Management

    Graham Windham (Bronx, NY)
    …Position Qualifications: + BA/BS with 2 years of relevant experience,ORa License as a Registered Nurse with 2 years of relevant experienceORMasters with 1 year ... ensure consistent communication around the Care Plan with caregivers, providers, case planners and other stakeholders in the youth/family's life. Job… more
    Graham Windham (09/19/25)
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  • Care Management Coordinator

    Catholic Health Services (Melville, NY)
    …Identifies and escalates quality of care issues under the guidance of a Registered Nurse . + Utilizes motivational interviewing skills to ensure maximum member ... Health was named Long Island's Top Workplace! Job Details The Care Manager Coordinator assists clinical staff in the collaborative process of assessment, planning,… more
    Catholic Health Services (09/18/25)
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  • Research Nurse

    Catholic Health Services (West Islip, NY)
    …Advanced degrees encouraged (MS, MPH, NP, MPA) Licensure/Certification: + Current NYS Registered Nurse License + Clinical Research Accreditation preferred (ACRP, ... have what it takes to be a Good Samaritan Nurse . You are at the heart of health. Job...research audits or study sponsor monitor visits,i.e.: medical records, case report forms and other source documents. + Must… more
    Catholic Health Services (10/03/25)
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